CPT 83615 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Chemistry Procedures Pathology and Laboratory Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 26 - Professional component PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83615 |
National average reimbursement for CPT 83615 by major payers:
$4.51
$4.27
$7.62
$8.68
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 83615 | $20.44 | 1255741328 - SARAH LEE | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Hematology (Internal Medicine) Physician (207RH0000X) |
United | 83615 | $20.44 | 1174717649 - SHARON CLANCY | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Plastic Surgery Physician (208200000X) |
United | 83615 | $2.10 | 1306830138 - FREDERICK WITTLIN | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Hematology & Oncology Physician (207RH0003X) |
United | 83615 | $2.09 | 1285650580 - ADAM KIBEL | 42263040 - (MA) DANA-FARBER CANCER INSTITUTE | MA | Urology Physician (208800000X) |
United | 83615 | $2.09 | 1033347299 - ZUZANA TOTHOVA | 42263040 - (MA) DANA-FARBER CANCER INSTITUTE | MA | Student in an Organized Health Care Education/Training Program (390200000X) |
United | 83615 | $6.76 | 1740366491 - JOHN SHEFFIELD | 911220843 - ASSOCIATION OF UNIVERSITY PHYSICIANS | WA | Internal Medicine Physician (207R00000X) |
United | 83615 | $20.44 | 1891012696 - WILLIAM BARRET | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | TN | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 83615 | $2.10 | 1194162263 - ALEJANDRA ERGLE | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Hematology & Oncology Physician (207RH0003X) |
United | 83615 | $8.22 | 1447679113 - JONATHAN LAMBIRD | 223849199 - WAKE FOREST UNIVERSITY HEALTH SCIENCES | FL | Hematology & Oncology Physician (207RH0003X) |
United | 83615 | $2.10 | 1811989932 - DEBORAH KRAMER | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | 83615 | $2.09 | 1275272775 - ERICA CHEUNG | 42263040 - (MA) DANA-FARBER CANCER INSTITUTE | IL | Physician Assistant (363A00000X) |
United | 83615 | $20.44 | 1760516462 - JOEL HERNANDEZ | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | WA | Pediatric Nephrology Physician (2080P0210X) |
United | 83615 | $17.53 | 1013465202 - SHAWN HURLEY | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Family Nurse Practitioner (363LF0000X) |
United | 83615 | $6.76 | 1568833309 - CHENIE XU | 911220843 - ASSOCIATION OF UNIVERSITY PHYSICIANS | WA | Physician Assistant (363A00000X) |
United | 83615 | $17.53 | 1184987166 - YAN XING | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Medical Oncology Physician (207RX0202X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 83615 vs. Other Pathology and Laboratory Procedures Codes
The CPT 83615 code is part of the Chemistry Procedures services used for Pathology and Laboratory Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 83615 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 83605-CPT | Low | Test For Lactic Acid Buildup, This Test Takes A Blood Or Spinal Fluid Sample. Too Much Lactic Acid Can Starve Tissues Of Oxygen. Lactic Acid Can Build Up In Muscles When They Are Exercised. |
| 83615-CPT | Low | Test For Tissue Damage, This Test Measures The Enzyme Lactic Dehydrogenase (Ldh) To Check For And Assess Tissue Damage Particularly After A Stroke Or Heart Attack. |
| 83625-CPT | Low | Test For Tissue Damage, This Test Measures The Enzyme Lactic Dehydrogenase (Ldh) To Check For And Assess Tissue Damage Particularly After A Stroke Or Heart Attack. |
| 83690-CPT | Low | Lipase Enzyme Blood Test, This Test Measures The Amount Of Lipase Present In A Blood Sample. Lipase Is A Digestive Enzyme Made By The Pancreas. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83615. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83615 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 83615) and we'll show you how you compare in 15 minutes or less.